Madad-Ul-Islam Girls' College

Online Application

Get Intouch

Admission Form

Please fill in the form below to apply for admission

Section A - Student

Surname *

Gender *

Date of Birth *

Other Name(s) *

Nationality *

National ID *

Country of Birth *

Address - Street *

Locality *

Last School Attended *

Town/Village *

Last Form Attended *

Student Phone No

PSAC result (or equivalent):

Eng:

Maths:

French:

Scie:

His/Geo:

OL:

Aggregate Year:

Needy Students:

SRM (NEF) Social Security Other

Ward is living with: *

Both Parents Father only Mother only Other (Specify relationship):

Parents

Father's Information

Name of Father *

National ID *

Father's Occupation *

Tel *

Mobile *

Email Address *

Mother's Information

Name of Mother *

National ID *

Mother's Occupation *

Tel *

Mobile *

Email Address *

Section B - Responsible Party (if not father or mother)

Surname

Other Name

National ID

Relationship with ward

Address - Street

Locality

Town/Village

Tel

Mobile

Person other than Responsible Party to be contacted in case of emergency

Surname

Other Name

Home Tel

Office Tel

Mobile

Health

State any health issues including allergies to which you may wish to draw attention of school (optional):

2. Allergy to

Transport

Parent's acceptance to receive SMS alert in case of absence of ward

Yes No

Mobile 1:

Mobile 2:

Bus Route No(s):

From:

To:

Route No:

From:

To:

Route No:

Declaration of Responsibility and Undertaking

I, hereby declare that the information given herein is true to the best of my knowledge and undertake to abide by the rules and regulations of the school and to inform the school of any changes in the above information.

Signature *

Date *